COVID-19 PANDEMİSİNİN CERRAHİ HİZMETLERİN SUNULMASI ÜZERİNDEKİ ETKİLERİ

Öz

Dünyada ve ülkemizde etkisini gösteren Covid-19 pandemisi, milyonlarca hastaya cerrahi bakım verilmesini olumsuz yönde etkilemiştir. Pandemi yönetimi ve pandeminin cerrahi operasyonlar üzerindeki etkileri hakkında çok az bilgiye ulaşılabilmektedir. Kısa bir süre içinde birkaç perioperatif kılavuz yayınlanmıştır. Ancak pek çok öneri çelişkilidir ve deneyimlere dayanmaktadır. Cerrahi operasyonların sık yapıldığı bölgeler, aynı zamanda pandemiden en çok etkilenen bölgelerdir. Bu bölgelerde çok sayıda cerrahi operasyon iptal edilmek ya da ertelenmek zorunda kalmıştır. Pandeminin, cerrahi tedavinin doğası (anestezi kullanımı, ameliyathaneler, koruyucu ekipman ve perioperatif bakım ihtiyacı) nedeniyle, hastaları orantısız bir şekilde etkilemektedir. Postpandemik değerlendirme ve gelecek planlama, bir pandemi sırasında popülasyon için uygun cerrahi bakımı sürdürmenin önemli bir parçası olmalıdır. Postpandemik aşamada, cerrahi hizmetlerin yeniden normal haline dönmesi için pandemi sürecinde birikmiş vakaların, iş yükünü uygun bir şekilde azaltmak amacıyla mevcut kapasitenin geliştirilmesi gerekecektir. Bu derlemede, COVID-19 pandemisinin cerrahi hizmetlerin sunulması üzerindeki etkilerine yer verilmektedir.

Anahtar Kelimeler

• Cerrahi hizmetler
• COVID-19
• pandemi.

THE EFFECTS OF COVID-19 PANDEMIA ON THE DELIVERY OF SURGICAL SERVICES

Öz

The Covid-19 pandemic, which is a global phenomenon, affected the provision of surgical care for millions of patients negatively. Little information is available on pandemic management and the effects of the pandemic on surgical operations. Several perioperative guidelines have been published over a short period of time. However, many recommendations are contradictory and based on experiences. The regions with a high number of surgical operations are also the regions most affected by the pandemic. Many surgical operations in these areas had to be canceled or postponed. Pandemic appears to affect patients disproportionately due to the nature of surgical treatment (the use of anesthesia, operating rooms, protective equipment, and the need for perioperative care). Post-pandemic assessment and future planning should be an important part of maintaining appropriate surgical care for the population during a pandemic. The post-pandemic phase will require reestablishment of surgical services and capacity building to restore normality and appropriately reduce the backlog of cases as a priority. This review highlights the effects of the COVID-19 pandemic on the delivery of surgical services.

Anahtar Kelimeler

• Covid-19
• pandemic
• surgical services

Kaynakça

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